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� - <br /> . . , . � , , <br /> , �BACKWATER PREVENTION D[VICE PROGRAM <br /> � Our records indicale Ihat a backwater prevention device must be installed on your <br /> sewer connection to comply wilh the new ordmance. Please help us verify that our <br /> ' infoimation is correct by answenng the following queshons about your propeAy: <br /> Do you have a basemenl7 Yes � No ❑ <br /> If yes, does it have plumbing fixtures (sink, toilel, ioor dram etc )? Yes � No ❑ <br /> Do you have a backwater valve on your sewer line� Yes ❑ No ❑ Don'I Know � <br /> Do you have a grinder pump in your basement? Yes ❑ No [�j Don't Know ❑ <br /> Namc: �. �^�c��_ <br /> Property address. � � 0 lp \�n.�A,� (.�++�� :�£'�' �A —`�( ZU ( <br /> Phonel �12� ' o�S7'�I��J� Phone2: �S'-_1� 1' qV�3 '�"=r"'�v <br /> Email: � Ur��WSY W u� �-�"a1�_ <br /> { , .� , .. ( t,. . . <br /> ' ' r t' �1'�.�.]D�j.L�il��!'�l�����!�� I����.��1'131 ' 'f�:�ti�ill'L4.LC�l�'. <br />